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NPI Code Detail

MEDICARE: MR. KEVIN MICHAEL GAMETT M.D.

MEDICARE: MR. KEVIN MICHAEL GAMETT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician15890NV

General Provider Information

NPI Number : 1073823258
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN MICHAEL GAMETT M.D.
Provider Business Mailing Address
First Line : 950 RYLAND ST
Second Line :
City : RENO
State : NV
Zip : 89502-1605
Country : US
Telephone Number : 775-329-0286
Fax Number :
Provider Business Practice Location Address
First Line : 5510 RENO CORPORATE DR
Second Line :
City : RENO
State : NV
Zip : 89511-2599
Country : US
Telephone Number : 775-622-9078
Fax Number : 775-622-0696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2010
Last Update Date : 04/25/2024

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